Healthcare Provider Details

I. General information

NPI: 1831985647
Provider Name (Legal Business Name): SUZANNE GILBERG MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2025
Last Update Date: 04/24/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8550 SANTA MONICA BLVD
WEST HOLLYWOOD CA
90069-4496
US

IV. Provider business mailing address

8550 SANTA MONICA BLVD
WEST HOLLYWOOD CA
90069-4496
US

V. Phone/Fax

Practice location:
  • Phone: 323-578-8636
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: SUZANNE GILBERG
Title or Position: CEO
Credential: MD
Phone: 323-578-8636